Developmental - Behavioral Paediatrics
Draft proposed by Dr Florence Lee
Reviewed by Dr Stephen Chan
Essential Skills
Domain 1 - Professional Values & Behaviour
Domain 2 - Communication
Domain 4 - Patient management
Domain 5 - Health promotion & Illness prevention
Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises.
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Basic Training
Normal child development
Understand developmental domains and trajectories, normal variations.
Common developmental problems in childhood
Global developmental delay / Intellectual Disability
Language difficulties / disorder
Autism spectrum disorder
Attention deficit hyperactivity disorder and problems
Anxiety problems
Dyslexia / at risk of dyslexia
Physical impairment e.g. cerebral palsy
Hearing impairment
Visual impairment
Acquired brain injury, acquired cognitive impairment
Understand:
- genetic and environmental factors affecting development and common types of disabilities
- neurological and genetic basis of developmental disorders
- risk and protective factors
- clinical signs and diagnostic criteria
Recognize and identify common developmental problems
- concept of “Early identification and intervention”
Management of the common disorders
Developmental assessment
- Acquire skills on gathering essential information and use of screening tools on different clinic setting
- Perform developmental screening including hearing and vision screening, and neurodevelopmental examination
- Initiate / make referral for investigation of underlying causes (e.g. genetic, metabolic, neurological) and further assessment/ management
- Provide advice to parents on common development related concerns (e.g. basic home training on development, positive parenting, handling of food fad)
Rehabilitation services in Hong Kong
Higher Training
Common developmental problems in childhood
- Understand and identify comorbid conditions
- Understand the international classification of function (ICF WHO)
Developmental assessment skills
- Recognize common developmental problems and formulate appropriate differential diagnoses.
- Know common locally used developmental assessment tools and their interpretation.
- Acquire basic disclosure and counseling skills.
- Manage and formulate management plan for simple cases (e.g. language delay, borderline developmental delay)- conduct developmental assessment and make appropriate referral.
- Understand multidisciplinary approach in developmental assessment and make appropriate referral for further assessment management for more complex conditions e.g. comorbid, significant delay/ disorder.
- Provide evidence based information to parents on common developmental conditions.
Rehabilitation services in Hong Kong
- Know local community resources, including rehabilitation, educational and social support service, and make appropriate referrals.
- Principle of rehabilitation planning.
Desirable skills (optional for General Paediatric Training)
1. Perform some standardized developmental assessment tools e.g. HKCASP, GDS-C
2. Parental counselling on common developmental problems and fostering child development